DR. ROBERT TOMS KELLY (NPI# 1790850675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790850675 |
Entity Type | Individual |
Full Name | DR. ROBERT TOMS KELLY |
Credential | DDS |
Practice Address |
1635 Doctors Cir Wilmington NC 28401-7405 |
Practice Telephone | 9103431735 |
Mailing Telephone | 9103431735 |
Enumeration Date | 2006-11-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4719 | NC | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871902494 | Robert Keith Kelly | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2014-08-07 |
1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
1922375310 | Robert R. Kelly | Pediatrics | 110 Poncha Ave, Alamosa, CO 81101-2160 | 2011-11-29 |
1174708267 | Robert D. Kelly | Physical Medicine & Rehabilitation | 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 | 2008-01-08 |
1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
1457555054 | Robert Henry Kelly | Orthopaedic Surgery | 1006 Russell Loop, The Villages, FL 32162-6458 | 2007-06-14 |
1811101876 | Robert H Kelly | Dentist | 24540 E Welches Rd, Welches, OR 97067-0347 | 2007-05-09 |
1902029291 | Robert J Kelly | Pharmacist | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2007-04-11 |
1497863039 | Robert B Kelly | Family Medicine | 14601 Detroit Rd Fl 2, Lakewood, OH 44107 | 2006-08-25 |
1811900756 | Robert Mouledoux Kelly | Optometrist | 4225 Lapalco Blvd., Marrero, LA 70072-4338 | 2006-08-14 |
Street Address |
1635 DOCTORS CIR |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
1083189609 | Children's Dental Health of Delaware, LLC | Dentist | 3301 Lancaster Pike # 3e3f, Wilmington, DE 19805-1436 | 2018-10-10 |
1427567379 | Mid-atlantic Dental Partners Delaware II Professional Associates | Dentist | 4201 Miller Rd, Wilmington, DE 19802-1914 | 2017-09-22 |
1013381409 | Wj Partnership | Dentist | 8115 Market St Ste 204, Wilmington, NC 28411-8430 | 2015-11-23 |
1003109877 | Jill Laurie Garrido | Dentist | 2000 Foulk Rd Ste C, Wilmington, DE 19810-3642 | 2011-05-26 |
1316095904 | B.b. Roseman Dmd, Md L.b Jacobs Dmd Pa | Dentist | 708 Foulk Rd, Wilmington, DE 19803-3734 | 2007-01-08 |
1316037799 | Halley R White | Dentist | 8115 Market St, Suite 204, Wilmington, NC 28411-8427 | 2006-10-13 |
1699884940 | Julia Dimock | Dentist | 3505 Converse Dr Ste 175, Wilmington, NC 28403-6174 | 2006-08-30 |
1073532248 | Dimock Weinberg & Cherry Dds Pllc | Dentist | 3505 Converse Dr, Suite 175, Wilmington, NC 28403-6131 | 2006-07-19 |
1134154297 | Francis Jerome Vaughan | Dentist | 613 Philadelphia Pike, Wilmington, DE 19809-2550 | 2006-07-11 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.